Individual
DR. SUSAN JANICE MCMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
303 W. GREENWAY DR. N., GREENSBORO, NC 27403
(336) 272-4426
(336) 272-4228
Mailing address
303 W. GREENWAY DR. N., GREENSBORO, NC 27403
(336) 272-4426
(336) 272-4228
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
754
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04094
BCBS
NC
Enumeration date
07/06/2009
Last updated
07/06/2009
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